Examples Of Metaparadigm In Nursing

In this paper, I will discuss my personal ontological stance of nursing, and how it is influenced by Fawcett’s metaparadigm of nursing which includes person, environment, health, and nursing. Additionally, I will assess how my ontological stance is influenced by other views of nursing which I feel were lacking from the metaparadigm. Finally, I will discuss how my ontological stance is influenced by Bender’s critique of nursing ontology.

Keywords: [ontology, metaparadigm] The World Health Organization (2022) describes nursing as “encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. It includes the promotion of health, the prevention of illness, and

Internal and external factors such as accessibility, staffing shortages, cleanliness, and sanitation are important to consider. Traditionally, health care was provided at hospitals or clinics where nurses worked (Schim et al., 2007). I believe that the environment should include the environment outside of the hospital in which the individual lives every day. Depending on living situations, the patient’s health can be directly affected. For example, individuals who live in a rural community could be negatively impacted due to limited accessibility to healthcare appointments and testing compared to those in an urban setting. Additionally, Florence Nightingale has influenced my stance with regard to the physical environment where care is provided. She believed environmental factors including sterile equipment, the hygiene of patients, and a germ-free environment would be beneficial for maintaining mental and physical health for the patient and health care provider (Schim et al.,

I agree with the statement “health must be defined by patient and nurses must allow themselves to be guided by what the person considers acceptable level of health or standard of living.” (Salem Press Encyclopedia of Health, 2022). It is important to listen to the patient describe their health concerns in a subjective manner, and to observe the patient objectively to determine the health concern. Every individual has a different outlook on what health looks like to them. However, it is important to look at the patient holistically and take all aspects of the person into consideration with regards to their health including their “quality of life as a critical patient outcome” (Thorne et al.,